Active NPI
Stephanie A Partis, PT
- Physical Therapist
- Homer, NY
National Provider Identifier
1386672236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 025444-1
- Practice address
- 84 Cortland St
Homer, NY 13077-1517 - Phone
- (607) 749-2219
- Fax
- (607) 749-2286
- NPI assigned
- Jun 29, 2006
- Last updated
- Sep 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 025444-1 | NY | Primary |
Addresses
Primary practice location
84 Cortland St
Homer, NY 13077-1517
Mailing address
84 Cortland St
Homer, NY 13077-1517
Phone (607) 749-2219
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161303109 | Other | NY | UNITED HEALTHCARE |
| 364723 | Other | NY | MVP |
| 000157471 | Other | NY | BSCNY |
| 000923581001 | Other | NY | HEALTHNOW NY |
| 5056028 | Other | NY | AETNA |
| 161303109 | Other | NY | CIGNA |
Other names 1
- Ms. Stephanie A Vanslyke
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | spartis161801@direct-guthrie.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- State University of Ny Upstate Medical University, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
84 Cortland St
Homer, NY 13077-1517
Phone (607) 749-2219
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025444-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PPN Ipa Inc | Physical Therapist | Current | Accepting new patients |
| Homer Physical Therapy, PC | Physical Therapist | Current | Accepting new patients |
| Mary Lou Corcoran PT, P.C. | Past | Accepting new patients |
Locations
84 Cortland St
Homer, NY 13077
Phone (607) 749-2219
Interoperability endpoints
- spartis161801@direct-guthrie.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Heyer Physical Therapy
- Physical Therapy Clinic/Center
- Homer, NY
- NPI 1952627044
Physical Therapist
-
- Physical Therapy Clinic/Center
- East Syracuse, NY
- NPI 1699780338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632182400000",
"number": "1386672236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84 CORTLAND ST",
"city": "HOMER",
"state": "NY",
"postal_code": "130771517",
"telephone_number": "607-749-2219",
"fax_number": "607-749-2286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "84 CORTLAND ST",
"city": "HOMER",
"state": "NY",
"postal_code": "130771517",
"telephone_number": "607-749-2219",
"fax_number": "607-749-2286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARTIS",
"first_name": "STEPHANIE",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2021-09-21",
"certification_date": "2021-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "025444-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "161303109",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "364723",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSCNY",
"identifier": "000157471",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNOW NY",
"identifier": "000923581001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5056028",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "161303109",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "spartis161801@direct-guthrie.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "134 Homer Ave",
"city": "Cortland",
"state": "NY",
"country_code": "US",
"postal_code": "130451206",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "VANSLYKE",
"middle_name": "A",
"prefix": "MS.",
"credential": "PT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Homer, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.